CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Grady Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $179
Cash Discount Price: $6,096
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Grady Memorial Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,096. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.00x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$6,096

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $6,096 (3402%)

Insurance Median: $179 (100%)

Cash: $6,096 (3402% of Medicare)

Ins. Median: $179 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup	$56 - $991	31%
Caresource	$56 - $910	31%
Peach State	$56 - $910	31%
Aetna	$58 - $2,713	32%
Ambetter / Centene	$58 - $902	32%
Blue Cross Blue Shield	$58 - $4,877	32%
Cigna	$58 - $3,606	32%
Humana	$58 - $177	32%
Kaiser	$58 - $4,621	32%
Medicare (plans)	$58 - $177	32%
UnitedHealthcare	$58 - $4,389	32%
Vaccn	$58 - $177	32%
Wellcare	$58 - $177	32%
Clear Spring Health	$61 - $186	34%
Clover	$61 - $186	34%
Usp Naphcare	$64 - $3,658	36%
Oscar Health	$82 - $3,962	46%
Multiplan	$4,694	2619%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $6,096.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grady Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.